4607 Penkwe Way - Inspection FormCity of Cap!
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date 1r' 31 f! ?
Name
PID Number
House Number
LQW, f# a
4" to 6" Transition:
f,
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
Disk #
Time
Street Name
Owner /Occupant Signature
am
pm
Alternative Mailing Address Phone
For information call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks '1 Entered S.L.at °
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
f
Transition
d c/ ,, •— t_, r
87
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
r
a am
Time
• • Opm
Inspector Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Number
Correctly
Discharg
Incorrectly Unknown
Notes
)
t-y!y} ' f h:- i i ,-_------7- i .a f d7
J � 1
: f f ;---,
Sump pumps
-11 , r
. .;
: r : ,
e
Foundation drains
IMI
X
Roof drains
MIN
IIIII
City of Cap!
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date 1r' 31 f! ?
Name
PID Number
House Number
LQW, f# a
4" to 6" Transition:
f,
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
Disk #
Time
Street Name
Owner /Occupant Signature
am
pm
Alternative Mailing Address Phone
For information call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks '1 Entered S.L.at °
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
f
Transition
d c/ ,, •— t_, r
87
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
r
a am
Time
• • Opm
Inspector Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH